Individual provider Active NPI

Alethea Goldrup, TRT

  • Recreational Therapist Assistant
  • South Salt Lake, UT
National Provider Identifier
1992592836
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recreational Therapist AssistantTaxonomy code 226000000X
License
8974687-4003 Issued in UT
Practice address
433 E 2700 S
South Salt Lake, UT 84115-3325
Phone
(801) 558-5134
NPI assigned
Apr 23, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Recreational Therapist Assistant 226000000X 8974687-4003 UT Primary

Addresses

Primary practice location

433 E 2700 S
South Salt Lake, UT 84115-3325

Mailing address

4719 W Neill LN # Nn101
Riverton, UT 84096-3291
Phone (801) 558-5134

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8974687-4003UTMDRecreational Therapist Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1745366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1992592836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4719 W NEILL LN # NN101",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840963291",
            "telephone_number": "801-558-5134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 E 2700 S",
            "city": "SOUTH SALT LAKE",
            "state": "UT",
            "postal_code": "841153325",
            "telephone_number": "801-558-5134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDRUP",
        "first_name": "ALETHEA",
        "credential": "TRT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-23",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "226000000X",
            "taxonomy_group": "",
            "desc": "Recreational Therapist Assistant",
            "state": "UT",
            "license": "8974687-4003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Salt Lake, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.